You’re a high-risk patient. You need a swine flu vaccine. Your doctor has none. Where can you get help?

We’re hearing this anguished question over and over again. The Texas Department of State Health Services knows the answer — and isn’t sharing it.

Its Web site has the obligatory FAQ section, but this question isn’t on the list.

Another section of the site is labeled “H1N1 vaccine distribution,” with categories for allocations by county, to local health departments and to private providers. But there are no links — only the words “coming soon.”

Early this morning, my colleague Jeff Weiss asked state health department spokeswoman Carrie Williams: “Why does the state not post on its Web site the names of every provider that you’ve ordered vaccine shipped to and the amount of vaccine that you have had shipped there to date?”

Her only responses:
* “We are working on a county-by-county list of totals. Hopefully we will be able to post those numbers soon.”
* “Providers receiving vaccine at this point are getting amounts to serve their own patients. They are reaching out to their own high-risk patients and are quickly exhausting their supplies, which are limited right now due to national production.”

So all most people know is what we’ve been able to figure out so far: Dallas County’s health department is having a mass clinic tomorrow, aimed at high-risk people without insurance. And Farmers Branch entrepreneur Jeff Vitt (right) is selling vaccines for $20 a pop to anyone who walks through his door.

Now a spokeswoman for Jeff Vitt’s Star Medical Group says he did nothing wrong and blames the dispute on a communication problem — failure to clarify the distinction between Star Medical and another Vitt company called Flu Shots of America.

Texas health department spokeswoman Carrie Williams said Friday that Star claimed to be a private medical practice, making it eligible for an early shipment of vaccine. The state’s theory has been that such practices are the best way to reach the highest-risk patients first.

But Vitt’s business turned out to be what the state calls a mass vaccinator, and it was selling shots to anyone willing to pay $20.

And Vitt’s clinic (right) has been vaccinating anybody willing to pay $20 — not just those in highest-risk groups who are supposed to be first in line. They are, according to the Centers for Disease Control, “pregnant women, people who live with or care for children younger than 6 months of age, health care and emergency medical services personnel with direct patient contact, children 6 months through 4 years of age, and children 5 through 18 years of age who have chronic medical conditions.”

The state health department says it is investigating. Vitt says he has done nothing wrong.

Do you have a tip about Flu Shots of America? Send me an e-mail and let me know. Or join the conversation by commenting below.